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Health Insurance and Payment

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Health Insurance

Alivio Medical center accepts Illinois Medicaid, Medicaid Managed Care Plans, Medicare, private commercial and Marketplace (Affordable Care Act) insurance plans.  If you do not have insurance, our Benefits Enrollment Counselors can guide you through application/renewal assistance process at our Pilsen Satellite Senior Center at Casa Maravilla.

Patients who do not qualify for these programs can receive a medical visit for as little as $20 using our sliding scale, which is based on income and family size.

For patients with an HMO, an Alivio provider must be your assigned PCP to be seen at the clinic.

We accept several insurance plans. If you have any questions about which insurance plans we accept, please call our Billing Department at 773-254-1400, after selecting your language, press prompt #2.

Insurance plans accepted

* Contracted Plans through IPA’s

  • Commercial plans
    • Aetna
    • Blue Cross Blue Shield HMO, Blue Advantage *
    • Cigna*
    • Humana Health Care*
    • United Health Care
  • Medicare Medicaid Alignment Initiative (MMAI)  Medicare Duals
    • Aetna Better Health
    • Blue Cross Blue Shield of Illinois
    • Meridian Health Plan
    • Molina Healthcare of Illinois
  • Illinois Health Insurance Marketplace
    • Ambetter Health
  • Medicaid Plans
    • Aetna Better Health
    • Meridian Health Plan
    • Molina Healthcare of Illinois
    • YouthCare
  • Medicare HMO & PPO Plans
    • Clear Spring Medicare Advantage*
    • Community Care Alliance
    • Humana Medicare Advantage*
    • Molina Healthcare of Illinois Medicare Advantage (MAPD)
    • More Care Health Plan
    • Wellcare
    • ZingHealth
  • Independent Physician Associations (IPA)
    • Loyola Physician Partners (LPP)
    • Village Physicians Network (VPN)
Family SizeIncome threshold
114,58018,22521,87025,51529,160
219,72024,65029,58024,51039,440
324,86031,07537,29043,50549,720
430,00037,50045,00052,50060,000
535,14043,93552,71061,49570,280
640,28050,35060,42070,49080,560
745,42056,77568,13079,48590,840
850,56063,20075,84088,480101,120
955,70069,62583,55097,475111,400
1060,84076,05091,260106,470121,680
Medical2030354045
BH510152025
Oral Health Visits3035404550
For families of more than 10, add $4,720 for each family member.

Payment Options

Many of us face challenging decisions every day but choosing between basic needs and health care should not be one of them. Studies have shown that preventive health screenings and health consultations in primary care increase life expectancy. As a Federally Qualified Health Center, AMC’s sliding fee scale program ensures patients who may not have normal access to health care, either because of distance or economics or who are uninsured or with limited insurance, have access to preventive check-ups in a cost-effective way improving patients access to living healthier lives.

Patients looking to apply for the Sliding Scale Eligibility application will need to show proof of annual income and family size.

While we are committed to providing affordable care for all our patients, payment is still expected at the time of service, by cash, check or Visa/Mastercard/Amex.  Not having payment at the time of service may result in your appointment being rescheduled.

Patients who have completed a Sliding Scale application, submitted income verification documentation, and found to be eligible for discount will be charged according to the sliding fee scale discount and nominal fee, as applicable.

Patients qualifying for a sliding scale discount will be expected to pay an affordable nominal fee at the time services are rendered. This payment will cover all charges incurred as part of a single visit, including ancillary services, such as those received from the laboratory, or radiology. This payment does cover the cost of pharmaceuticals, or dental services.

Limitations include the following:

  • Payments are not collected for lab-only or nurse-only visits. Patients will receive a bill for these services from the provider of these services.
  • This sliding fee scale applies to patients who are uninsured or underinsured.
  • Insured patients are asked to provide income information for sliding fee scale eligibility and will be asked to pay their insurance co-pay, and your insurance will be billed for services. If there are any charges not covered by insurance, your eligible sliding fee scale discount is applied to your balance.
  • The sliding fee scale and nominal fee will apply to patients without health insurance who do not qualify for Medicaid and Marketplace insurance plans.

Learn more about your right to receiving a Good Faith Estimate.

Good Faith Estimate (GFE)

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. The above price schedule for our main services is our Good Faith Estimate of your expected costs for an appointment with us.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. Pricing is subject to change.

You may request a print-out of the above fee schedule as your Good Faith Estimate. (GFE List of common service added as hyperlink)  If so desired, please reach out at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate, and in our case, a reference to the fee schedule above. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

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